| NPI | 1407002702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA Y BURSHTEYN Md/CEO 718-459-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 215638) |
| 174400000X Specialist | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2023-06-19 |